Individual
LYN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 SAINT JUDES ST, BOULDER CITY, NV 89005-1614
(702) 294-7188
Mailing address
100 SAINT JUDES ST, BOULDER CITY, NV 89005-1614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CI3076
NV
101YP2500X
Professional Counselor
Primary
CI3076
NV
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/04/2016
Last updated
12/03/2020
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